Introducing new technologies for placental presentation at an obstetric ward in the Sakha Republic (Yakutia)

Abstract

The article presents a retrospective analysis of Cesarean section operations in 385 pregnant women with placental presentation in the period 2013-2019 which were conducted at the Perinatal Center, Sakha Republic’s Hospital No. 1. The first group with fused placenta (117 cases) and the second group without fused placenta (268 cases). With the introduction of organ-preserving operations, the number of complications decreased threefold from 28.8 to 6.4%, and it was possible to reduce the number of organ-resecting operations by 10 times from 37.2 to 3.8%. In 2016-2019, 35 pregnant women with placenta growth were operated on using this technique. From June 2019, a new method of integrated approach to the delivery of pregnant women with placenta growth, which includes the use of a double-balloon catheter with bilateral dressing of the uterine arteries and the imposition of assembly seams on the placental surface. It was shown that one of effective way to reduce blood loss and the organ-preserving method during surgical delivery in patients with placental presentation is a complex method using a double-balloon catheter with ligation of the uterine arteries and the uterine compression suturing technique on the placental surface. The use of this method opens up new prospects for massive obstetric bleeding management.